Provider Demographics
NPI:1013255041
Name:MANHATTAN RADIATION ONCOLOGY PLLC
Entity Type:Organization
Organization Name:MANHATTAN RADIATION ONCOLOGY PLLC
Other - Org Name:FROS RADIATION ONCOLOGY MANHATTAN PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:WAH-SANG
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-532-2888
Mailing Address - Street 1:47 ESSEX STREET
Mailing Address - Street 2:GROUND FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4634
Mailing Address - Country:US
Mailing Address - Phone:347-532-2888
Mailing Address - Fax:718-321-8620
Practice Address - Street 1:47 ESSEX STREET
Practice Address - Street 2:GROUND FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4634
Practice Address - Country:US
Practice Address - Phone:347-532-2888
Practice Address - Fax:718-321-8620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03564418Medicaid